ASCENSION SACRED HEART BAY
Acute Care Hospitals
29
Procedure Prices at ASCENSION SACRED HEART BAY
COLLECTION VENOUS BLOOD VENIPUNCTURE
CPT 36415
$14.15
Mechanical Traction
CPT 97012
$53.3
BLOOD COUNT COMPLETE AUTO&AUTO DIFRNTL WBC
CPT 85025
$61.13
Therapeutic Activities
CPT 97530
$71.34
Therapeutic Exercises
CPT 97110
$87.74
COMPREHENSIVE METABOLIC PANEL
CPT 80053
$91.02
EKG Tracing
CPT 93005
$212.79
Chest X-Ray (1 view)
CPT 71045
$223.86
Screening Mammogram (bilateral)
CPT 77067
$257.48
Chest X-Ray (2 views)
CPT 71046
$313.24
Diagnostic Mammogram (unilateral)
CPT 77065
$316.93
Retroperitoneal Ultrasound
CPT 76770
$339.07
Diagnostic Mammogram (bilateral)
CPT 77066
$373.1
ER Visit — Low-Moderate Complexity
CPT 99283
$450.59
OB Ultrasound
CPT 76805
$705.61
ER Visit — Moderate Complexity
CPT 99284
$909
ER Visit — High Complexity
CPT 99285
$1,036
Abdominal Ultrasound
CPT 76700
$1,168.5
Abdominal Ultrasound — Limited
CPT 76705
$1,202.94
EKG
CPT 93000
$1,463
EKG Interpretation
CPT 93010
$1,463
Echocardiogram w/ Doppler
CPT 93306
$1,463
Echocardiogram
CPT 93307
$1,463
CT Chest
CPT 71250
$1,585.88
MRI Brain w/o Contrast
CPT 70551
$1,772.84
MRI Brain w/ Contrast
CPT 70553
$1,915.52
MRI Joint of Lower Extremity
CPT 73721
$1,915.52
CT Abdomen & Pelvis
CPT 74177
$3,364.87
ARTHROSCOPY SHOULDER ROTATOR CUFF REPAIR
CPT 29827
$15,157
Knee Arthroscopy
CPT 29881
$15,157
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Prices sourced from federally mandated hospital price transparency files. Cash prices reflect self-pay discounted rates. Negotiated rates vary by insurance plan. Data may not reflect current pricing — always confirm with the hospital before scheduling.